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Form 888 ~P~iAIENT Of THE TflEASURY - NIERNAI REVEkUE SERYCE Fot Opdonal Use By Recordtny Otfice
~R~~~ ~-7e~ NOTICE OF FEOERAL TAX IIEN UNDER INTERNAL REYENUE UWS F~~Ea a~u PEioa E
DISTRICT SERIAL NUMBER ST~ ROCEncP01NRA
~~~N~~ CIERK C:~ CUtT COUR~
Pursuanttotheprovisionsoisections6321, 6322. and 6323 of the Internal Revenue prCOp~ VEFt~~E^....,,",~~
Code, notice is hereby given that there have been assessed under the Intemal Reve- Q ~~~y
nue laws of the United States against ihe tollowing-named tax~ayer taxe~ ~~s?cludir~g
~nterest and penatties) which after demand for payment thereof remain unpaid, and _
that by virtue of the abov~mentioned statutes the amount of said taxes, together
with penalties, interest, and costs that may aocrue ia addition thereto, is a lien in favor _
of the United States upon all properry and rights to property belonging to said tax-
PaYer• W~c7~
NAME ~F TAXPAYER
C/1D W BR~Ii CC1~iTRlCTOft -
RESIDENCE ~
2210 Lve. G -
Fort Pierce 1~ 2
~ UNPAID BAIANCE
KIND OF TAX TAX PER100 ENDED DATE OF ASSESSMENT IDENTIFYING NUMBER OF ASSESSMENT
(a) (C) fc) (d) (e)
941 12-31-?4 2-2-~6 - 59-0732505 2,470.94
91~1 12-3~ -75 3-29-76 " 13Jj.30
9b1 3-3~-76 8-30-76 " 2~285.55
PLACE OF FILING Clerk ot C~rcuit C~
St. IrltCie Coluity TOTAL = j~=$c,~=~g
~i. Pierca, ~ ~
WITNESS my hand at Ft. pisrce, ~ , o~ this,
the1L~_day of ~OVe~abe: ,19 76
G A ~
SIGNATURE TITLE
. ~ rt - G~ er
i~~OTE: Certiflute of officK ~uthonzed by law to t~ke ~cknowrledymenb is not esssntial to the validlty ot NoticA of Fedeal 7ax LiM (i.C.M.
264/0, C.B. 1060-1. 725.)
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PART 1- To be retained by recording office